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1174630800 NPI number — GUO YING MAO LAC

NPI Number: 1174630800
Health Care Provider/Practitioner: GUO YING MAO LAC

Information about “1174630800” NPI (GUO YING MAO LAC) exists in 1174630800 in HTML format HTML  |  1174630800 in plain Text format TXT  |  1174630800 in PDF (Portable Document Format) PDF  |  1174630800 in an XML format XML  formats.

NPI Number : 1174630800 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1174630800",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MAO",
    "FirstName": "GUO",
    "MiddleName": "YING",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "LAC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MAO",
    "OtherFirstName": "ROGER",
    "OtherMiddleName": "G.Y.",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "LAC",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "9724 CORTADA ST APT C",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "EL MONTE",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91733-1218",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "626-350-4322",
    "MailingAddressFaxNumber": "626-350-4322",
    "FirstLinePracticeLocationAddress": "408 S. ROSEMEAD BLVD.",
    "SecondLinePracticeLocationAddress": "SUITE 1",
    "PracticeLocationAddressCityName": "PASADENA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "91107",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "626-585-9898",
    "PracticeLocationAddressFaxNumber": "626-585-9898",
    "EnumerationDate": "08/25/2006",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "171100000X",
        "TaxonomyName": "Acupuncturist",
        "LicenseNumber": "AC 9898",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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